Organization
LIFE LINE RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA I. LARSON SPAGON (EXECUTIVE DIRECTOR)
(208) 265-6796
Entity
Organization
Contact information
Practice address
2023 SANDPOINT WEST DR, SANDPOINT, ID 83864-7304
(208) 265-6796
(208) 255-5269
Mailing address
2023 SANDPOINT WEST DR, SANDPOINT, ID 83864-7304
(208) 265-6796
(208) 255-5269
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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